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PERMALLA DENTAL CARE
NPI 1356654594
Dentist - General Practice in Petaluma, CA

Active since July 16, 2010
855 LAKEVILLE ST, SUITE 101, PETALUMA, CA 94952(707) 773-1234 Get Directions Write a Review

NPPES record last updated: July 16, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Permalla Dental Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERMALLA DENTAL CARE (NPI 1356654594) is a healthcare organization registered as a general practice in Petaluma, California and active in the NPI registry since July 2010. The organization lists Praveena Permalla, President, as its authorized official.

NPPES Registry Identity

NPI1356654594
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRAVEENA PERMALLA, DDS, INC
Location Address855 LAKEVILLE ST, SUITE 101Petaluma, CA 94952-7328
Mailing Address855 Lakeville St, Suite 101Petaluma, CA 94952-7328 · (707) 773-1234
Phone(707) 773-1234
Organization SubpartNo
Authorized OfficialPraveena PermallaPresident · (707) 773-1234
Enumeration DateJuly 16, 2010
✔ NPI 1356654594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 54953
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
855 LAKEVILLE ST, Petaluma, CA 94952
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Other Names 1

Doing Business AsPermalla Dental Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERALD T PITTLER O. D. INC.
Optometrist
855 LAKEVILLE ST, SUITE 102
PETALUMA, CA 94952
Sonoma County (707) 763-1423
PRAVEENA PERMALLA DDS
Dentist (General Practice)
855 LAKEVILLE ST, SUITE 101
PETALUMA, CA 94952
Sonoma County (707) 773-1234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Praveena Permalla, Dds, Inc's NPI number?

The NPI number for Praveena Permalla, Dds, Inc is 1356654594. It was assigned to this organization in the NPPES registry on July 16, 2010. The provider is doing business as Permalla Dental Care.

Where is Praveena Permalla, Dds, Inc located?

Praveena Permalla, Dds, Inc is located at 855 Lakeville St Suite 101, Petaluma, CA 94952. The listed phone number is (707) 773-1234.

What is Praveena Permalla, Dds, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Praveena Permalla, Dds, Inc was last updated on July 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.